| Name: | EAGLE FAMILY MEDICINE, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 05 Apr 2006 (19 years ago) |
| Financial Date End: | 30 Apr 2026 |
| Entity Number: | 503857 |
| Place of Formation: | IDAHO |
| File Number: | 503857 |
| ZIP code: | 83616 |
| County: | Ada County |
| Mailing Address: | STE 136 323 EAST RIVERSIDE DRIVE EAGLE, ID 83616 |
| Name | Role | Address |
|---|---|---|
| SHAWN NOWIESKI MD | Agent | 323 EAST RIVERSIDE DRIVE, STE 136, EAGLE, ID 83616 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Shawn C Nowierski | President | 323 EAST RIVERSIDE DRIVE, EAGLE, ID 83616 | 2021-03-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006147835 | 2025-03-07 |
| Annual Report | 0005629010 | 2024-03-04 |
| Annual Report | 0005131744 | 2023-03-03 |
| Annual Report | 0004636392 | 2022-03-07 |
| Annual Report | 0004188359 | 2021-03-03 |
| Annual Report | 0003792932 | 2020-03-03 |
| Annual Report | 0003483790 | 2019-04-19 |
| Annual Report | 0003072081 | 2018-03-05 |
| Annual Report | 0003072080 | 2017-03-02 |
| Annual Report | 0003072079 | 2016-03-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5564367409 | 2020-05-12 | 1087 | PPP | 100 WEST COTTONWOOD COURT SUITE 100, EAGLE, ID, 83616 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Idaho Secretary of State
